| NPI | 1477537843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M3654) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.14788R) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2022-11-30 |